Field specialist- Full Time- Evenings

4 weeks ago


New York NY, United States Charles B. Wang Community Health Center Full time

Identify the targeted risk population per PCP referral, risk stratification, and patient lists
* Handle case management assignments, review case progress in accordance to center guidelines
* Coordinate patient care through ongoing collaboration with PCP, patient/family, community, and other members of the health care team. Foster a team approach and includes patient/family as active members of the team
* Create and update personalized health care plans for patients by assessing patient’s wellness, needs, preferences and ability to utilize the care plans
* Communicate and establish effective working relations with care team
* Educate patients and caregivers about their health care plan and health care options
* Conduct regular follow-ups with patient to evaluate progress, ensure continuity of care and promote optimal health outcomes
* Summarize report relevant to care management activity
* Maintain care management documentation in electronic health records
* Establish linkage to external social services programs, specialist services and payer’s care management services
* Bachelor’s degree (health care related preferred)
* Bilingual in English and Chinese (Mandarin and Cantonese)
* Capacity for working on weekends preferred
* Experience in health care setting preferred
* Basic computer skills
*Medical insurance
* Employer-paid dental, vision, disability and life insurance
* 403(b) retirement savings plan
* Flexible spending accounts for transit, parking, health and dependent care
* Employee Assistance Program
* Tuition reimbursement for eligible employees, and
* Job Type: Full-time
Dental insurance
* Disability insurance
* Employee assistance program
* Flexible spending account
* Tuition reimbursement
* 8 hour shift
* Day shift



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